Preventing Fraud, Waste, and Abuse in the Pharmacy

Date: 4/14/2021 - 4/14/2024

On-Line Registration

NPTA Elite: Included With Membership Register

NPTA CE+: Included With Membership Register

NPTA Insider: $3.00 Register

Contact Hours: 3.0

ACPE UAN: 0384-9999-21-102-H03-T



The National Pharmacy Technician Association (NPTA) is accredited by the Accreditation Council for
Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

Target Audience: Certified Pharmacy Technicians

This CPE activity has been designated as a knowledge-based program.

Author: Elvia Sellountos, Pharm D, RPh.

Faculty Disclosures/Conflicts of Interest: Author declared no conflict of interest and all information is provided fairly and without bias. Author received no commercial/financial support for this activity and does not approve or endorse any commercial products displayed.


Goals & Objectives:

At the completion of this activity, participants should be able to:

  • Describe the role of the Centers for Medicare/Medicaid Services (CMS). 
  • Define CMS Medicare/Medicaid Fraud, Waste and Abuse (FWA). 
  • Describe specific examples of FWA in the pharmacy. 
  • Identify the prominent government agencies responsible for combatting FWA. 
  • Discuss the continued efforts of regulatory agencies to reduce fraud, waste, and abuse. 
  • Identify the major laws and regulations addressing FWA such as, Medicare regulations on Part C & D, HIPAA, the False Claims Act, the Anti-Kickback Statue, and others.
  • Recognize conditions for participation in government funded programs for health providers.
  • Define terms associated with FWA compliance like First tier, Downstream and Related entity.
  • List the seven elements required for an approved compliance program.
  • Recognize the consequences for non-compliance of program requirements.
  • Identify FWA reporting procedures and reporting sites.
  • Recognize protections under the Whistleblower Protection Act and the False Claims Act.
  • List disciplinary actions and penalties for FWA violations.
  • Explain the Exclusion List and the consequences of being on it.
  • Identify record retention and attestation requirements for FWA compliance auditing.
  • Identify other forms of health care fraud, waste, and abuse.
  • List specific actions a pharmacist can take to prevent, identify, and correct FWA.

    Release Date: 04/14/2021

    Expiration Date: 04/14/2024